Medical Biller / Medical Collections Specialist

We are seeking an experienced Medical Biller / Medical Collections Specialist to join a fast-paced healthcare billing team supporting a portfolio of 80+ client accounts. This position is ideal for someone who is highly organized, comfortable managing a large volume of accounts, and persistent when it comes to researching unpaid claims and getting balances resolved.

The right person will understand the full medical billing and collections cycle and be able to confidently communicate with insurance companies, healthcare providers, and clients to identify issues, resolve denials, and improve collections.

Key Responsibilities

• Manage billing and collections activity for a portfolio of 80+ healthcare clients
• Review outstanding accounts receivable and prioritize accounts requiring follow-up
• Follow up with insurance carriers on unpaid, underpaid, or delayed claims
• Investigate and resolve claim denials, rejections, and payment discrepancies
• Submit corrected claims, reconsiderations, and appeals when necessary
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs)
• Research aging accounts and determine appropriate next steps for collection
• Verify claim status, payment information, authorization requirements, and coverage issues
• Identify recurring billing or denial trends and work with internal teams to correct root causes
• Maintain detailed documentation of collection activity and account follow-up
• Communicate professionally with clients regarding outstanding balances, billing concerns, and account status
• Ensure billing and collection activity is completed accurately and within required timelines
• Maintain confidentiality and follow HIPAA and healthcare billing requirements

Qualifications

• 2+ years of medical billing and/or medical collections experience
• Experience managing a high-volume client or account portfolio strongly preferred
• Strong understanding of the medical revenue cycle and insurance billing process
• Experience researching and resolving denied or unpaid claims
• Knowledge of insurance terminology, CPT/ICD coding concepts, EOBs, ERAs, and payer guidelines
• Strong accounts receivable and collections skills
• Comfortable contacting insurance companies and persistently following claims through resolution
• Excellent organizational and time-management skills
• Ability to manage competing priorities and a large volume of follow-up activity
• Strong attention to detail and documentation
• Professional communication skills when working with clients, providers, and insurance representatives

What Will Make Someone Successful

This position requires someone who can own their accounts from beginning to resolution. You should enjoy investigative work, be comfortable digging into why something has not been paid, and have the persistence to continue following up until an answer is found.

Because this role supports 80+ clients, organization is critical. The strongest candidate will know how to prioritize an aging report, stay ahead of follow-ups, recognize patterns in denials, and keep a large portfolio moving without letting accounts fall through the cracks.

Ideal backgrounds may include: Medical Biller, Medical Collections Specialist, Revenue Cycle Specialist, Accounts Receivable Specialist, Insurance Follow-Up Specialist, or Medical Billing & Collections Specialist.